MILLENNIUM MEDICAL GROUP SOUTH PC (NPI# 1174762686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174762686 |
| Entity Type | Organization |
| Organization Name | MILLENNIUM MEDICAL GROUP SOUTH PC |
| Other Organization Name | TEL G URGENT CARE |
| Practice Address |
10501 Telegraph Rd Taylor MI 48180-3375 |
| Mailing Address |
25241 Grand River Ave Redford MI 48240-1404 |
| Practice Telephone | 3132957200 |
| Practice Fax Number | 3132950009 |
| Mailing Telephone | 2488511430 |
| Mailing Fax Number | 2488515182 |
| Enumeration Date | 2009-02-08 |
| Last Update Date | 2009-02-08 |
| Authorized Official Name | DR. ABRAHAM SLAIM (PRESIDENT) |
| Authorized Official Telephone | 3132953388 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| TEL G URGENT CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558500744 | Millennium Medical Group South PC | Internal Medicine | 8850 Telegraph Rd, Taylor, MI 48180-2316 | 2009-02-11 |
| 1265468623 | Millennium Medical Group South PC | Nurse Practitioner | 9340 Telegraph Rd, Taylor, MI 48180-3362 | 2006-06-25 |
| Street Address |
10501 TELEGRAPH RD |
| City | TAYLOR |
| State | MI |
| Zip Code | 48180-3375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700862034 | Satinder Kumar Aggarwal | Internal Medicine | 10501 Telegraph Rd, Suite 101, Taylor, MI 48180-3375 | 2005-12-19 |
| 1922598127 | Sharyn Perrone | Nurse Practitioner | 10501 Telegraph Rd, Taylor, MI 48180-3375 | 2018-05-14 |
| 1649560798 | Puneet Kumar Aggarwal | Family Medicine | 10501 Telegraph Rd, Taylor, MI 48180-3375 | 2011-04-11 |
| 1558549915 | Pharmacall, Inc | Durable Medical Equipment & Medical Supplies | 10501 Telegraph Rd, Suite 105, Taylor, MI 48180-3375 | 2008-02-07 |
| 1316134695 | Dev Mahajan, M.d.,p.c. | Internal Medicine | 10501 Telegraph Rd, Suite 102, Taylor, MI 48180-3375 | 2007-10-01 |
| 1861690695 | Avnish Mahajan | Physical Therapist | 10501 Telegraph Rd, Taylor, MI 48180-3375 | 2007-07-03 |
| 1568685097 | Crinela Fica Todea | Nurse Practitioner | 10501 Telegraph Rd, Suite 101, Taylor, MI 48180-3375 | 2007-04-11 |
| 1376667337 | Anil S Prasad | General Practice | 10501 Telegraph Rd, Suite #101, Taylor, MI 48180-3375 | 2007-03-16 |
| 1366575839 | Manoo Boonsiri | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10501 Telegraph Rd, Suite 102, Taylor, MI 48180-3375 | 2007-03-14 |
| 1942339072 | Pro Physical Therapy & Rehab, Plc | Clinic/Center | 10501 Telegraph Rd, Suite 103, Taylor, MI 48180-3375 | 2007-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920288 | Kenneth Harlan | Physical Therapist | 22606 Northline Rd., Taylor, MI 48180 | 2019-03-12 |
| 1790270916 | Ryan Thomas Sankovic | Physical Medicine & Rehabilitation | 10000 Telegraph Road, Taylor, MI 48180 | 2018-06-29 |
| 1538658026 | Deborah Moseley | Physical Therapist | 21308 Eureka Rd, Taylor, MI 48180 | 2018-05-09 |
| 1366944837 | Cheryl Lee Ivie | Nurse Practitioner | 26650 Eureka Rd Suite C, Taylor, MI 48180 | 2018-03-01 |
| 1619407376 | Markesha Lynn Smith | Case Manager/Care Coordinator | 26550 Eureka Road, Suite C, Taylor, MI 48180 | 2017-06-15 |
| 1376072645 | Chris James Clark | Massage Therapist | 11178 Katrine, Taylor, MI 48180 | 2017-06-08 |
| 1245767151 | Alexandre John Mazar | Student in an Organized Health Care Education/Training Program | 10000 Telegraph Road - Beaumont Taylor Hospital, Physical Medicine and Rehabilitation Department, Taylor, MI 48180 | 2017-05-23 |
| 1063949030 | Jared David Mccallum | Physical Medicine & Rehabilitation | Beaumont Hospital, Taylor - Attn: Chris L Birkenhauer, 10000 Telegraph Ro, Taylor, MI 48180 | 2017-05-22 |
| 1972039667 | Chante Lowman | Specialist/Technologist | 23774 Crisler St., Taylor, MI 48180 | 2017-05-02 |
| 1477003036 | Latricia Osborne | Licensed Practical Nurse | 94060e. Pickwick Circle, Taylor, MI 48180 | 2016-10-07 |
| Find all providers in zip 48180 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992956874 | Urgent Care One, Pllc | Clinic/Center | 9870 Telegraph Rd, Taylor, MI 48180-3334 | 2008-10-09 |
| 1013321033 | Taylor Urgent Care PC | Clinic/Center | 23234 Ecorse Rd, Taylor, MI 48180-1769 | 2014-06-18 |
| 1538452560 | Taylor Romulus Urgent Care PC | Clinic/Center | 27260 Eureka Rd, Taylor, MI 48180-4845 | 2011-05-24 |
| 1932243953 | Early Solutions Clinic | Clinic/Center | 14640 Pardee Rd, Taylor, MI 48180-4739 | 2007-02-16 |
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| 1871054650 | Warren Urgent Care Walk-in Clinic LLC | Clinic/Center | 30736 Hoover Rd, Warren, MI 48093-2555 | 2019-03-26 |
| 1821553587 | Medpointe Urgent Care Walk In Clinic PC | Clinic/Center | 31290 Groesbeck Hwy, Fraser, MI 48026-2517 | 2019-02-07 |
| 1174088066 | Kb Care, Pllc | Clinic/Center | 4563 Washtenaw Ave Ste B, Ann Arbor, MI 48108-1011 | 2019-02-05 |
| 1700340569 | Nuch of Michigan, Inc. | Clinic/Center | 20782 Thirteen Mile Road, Roseville, MI 48375 | 2019-01-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.